International Journal of Environmental Research and Public Health
Volume 15, Issue 11, 2018

Accessibility and acceptability of infectious disease interventions among migrants in the eu/eea: A cerqual systematic review (Review) (Open Access)

Driedger M. , Mayhew A. , Welch V. , Agbata E. , Gruner D. , Greenaway C. , Noori T. , Sandu M. , Sangou T. , Mathew C. , Kaur H. , Pareek M. , Pottie K.*
  • a Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada
  • b Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada
  • c Departments of Family Medicine & Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada
  • d Department of Paediatrics, Obstetrics, Gynaecology and Preventive Medicine, Universität Autònoma de Barcelona, Barcelona, 08193, Spain
  • e Departments of Family Medicine & Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada
  • f Division of Infectious Diseases, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada, Centre for Clinical Epidemiology of the Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC H3T 1E2, Canada
  • g European Centre for Disease Prevention and Control, Stockholm, 16973, Sweden
  • h Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada
  • i Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada
  • j Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada
  • k Bruyère Research Institute, 85 Primrose Ave, Annex E, Ottawa, ON K1R 6M1, Canada
  • l Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, LE1 7RH, United Kingdom
  • m Departments of Family Medicine & Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada

Abstract

In the EU/EEA, subgroups of international migrants have an increased prevalence of certain infectious diseases. The objective of this study was to examine migrants’ acceptability, value placed on outcomes, and accessibility of infectious disease interventions. We conducted a systematic review of qualitative reviews adhering to the PRISMA reporting guidelines. We searched MEDLINE, EMBASE, CINAHL, DARE, and CDSR, and assessed review quality using AMSTAR. We conducted a framework analysis based on the Health Beliefs Model, which was used to organize our preliminary findings with respect to the beliefs that underlie preventive health behavior, including knowledge of risk factors, perceived susceptibility, severity and barriers, and cues to action. We assessed confidence in findings using an adapted GRADE CERQual tool. We included 11 qualitative systematic reviews from 2111 articles. In these studies, migrants report several facilitators to public health interventions. Acceptability depended on migrants’ relationship with healthcare practitioners, knowledge of the disease, and degree of disease-related stigma. Facilitators to public health interventions relevant for migrant populations may provide clues for implementation. Trust, cultural sensitivity, and communication skills also have implications for linkage to care and public health practitioner education. Recommendations from practitioners continue to play a key role in the acceptance of infectious disease interventions. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Disease prevention Migrants Stigma Refugees Public health Access to care

Index Keywords

patient care health care personnel interpersonal communication human Health Behavior Communicable Diseases health belief Humans migrant psychology male Canada female risk factor Risk Factors Review communicable disease control stigma standards communicable disease health education migration health care access patient attitude disease predisposition disease severity Patient Acceptance of Health Care Transients and Migrants systematic review program acceptability attitude to health Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055668012&doi=10.3390%2fijerph15112329&partnerID=40&md5=876cf09a5898bb6db8639099966c5c09
DOI: 10.3390/ijerph15112329
ISSN: 16617827
Cited by: 1
Original Language: English